男患，40岁，因"四肢瘫痪2天"而来诊。病前3周曾有过流涕、咽痛、咳嗽。查体：双侧周围性面瘫，四肢肌力0级，肌张力减低，各腱反射（-），四肢呈手套-袜套样痛觉减退，双侧Babinski征（-）。下列病史中还可能出现的是（）。
A.病情晨起轻，傍晚重
B.常有家族史
C.有吞咽困难，饮水呛咳
D.背痛，有束带样感
E.饱餐和剧烈活动后起病
参考答案：C
A farmer was selling(卖) his little dogs. Just then, a __1_ happened to pass by. “I want to __2__ one of your dogs, sir.” “Well,” said the farmer, “these dogs come from fine parents and cost a lot of __3_.” The boy drop (低下) his head for a __4____. Then he reached deep into his pocket and took out some change. “I’ve got thirty-nine cents. Is that __5__ to take a look? ” “__6__,”said the farmer. And with that he let out a whistle(口哨),“Here, Dolly!” Dolly ran out of the doghouse followed by four little dogs. The boy’s eyes danced with _7_. As the dogs made their ___8__ to the farmer, the little boy saw something else moving inside the __9__.Slowly another little dog __10__; this one much smaller. It was doing its best to look out “I ___11_that one,” the little boy said. The farmer said, “Son, don’t want that dog. He will __12__ be able to run and play with you like the other dogs would.” The boy rolled up(卷起) one leg of his trousers and showed a steel(钢) __13__.Looking back up at the farmer, he said,“You see, sir ,I don’t __14__ too well myself ,and he will need someone to __15____”
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